MS. ROSE TERESE PERRY PAC
NPI 1649454588
Physician Assistant - Medical in Chicago, IL
About Ms. Rose Terese Perry Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ROSE TERESE PERRY PAC (NPI 1649454588) is an individual medical provider in Chicago, Illinois, licensed in Illinois (085002111) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Rose Terese Perry Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rose Perry's NPI number?
The NPI number for Rose Perry is 1649454588. It was assigned to this individual provider in the NPPES registry on December 27, 2007.
Where is Rose Perry located?
Rose Perry practices at 1855 W Taylor St, Chicago, IL 60612. The listed phone number is (312) 996-6582.
What is Rose Perry's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Rose Perry enrolled in Medicare?
Yes. Rose Perry is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rose Perry was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Rose Terese Perry, PAC · NPI 1649454588
Medical physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since December 27, 2007.
## Identity
- **NPI:** 1649454588 (Entity type: Individual)
- **Enumerated:** December 27, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 085002111 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1855 W TAYLOR ST, Chicago, IL 60612-7242
- **Phone:** (312) 996-6582
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 9, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1649454588) · Data from the CMS NPPES public registry.